CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Crossgates River Oaks Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $101
  • Cash Discount Price: $285
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Crossgates River Oaks Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$285

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $285 (267%)
Insurance Median: $101 (95%)
Cash: $285 (267% of Medicare)
Ins. Median: $101 (95% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $11 - $553 10%
Cigna $15 - $2,539 14%
Self Pay $20 - $1,016 19%
UnitedHealthcare $21 - $1,052 20%
Trimed Billing Solutions $22 - $1,088 21%
Ms State Hospital Of Whitfield $28 - $1,378 26%
First Choice Standard $34 - $1,668 32%
First Choice Coventry $38 - $1,886 36%
First Choice Mpcn Standard $40 - $1,995 37%
First Choice Ppo Plus $40 - $1,995 37%
Phcs $44 - $2,176 41%
Aetna $51 - $2,539 48%
Benefit Management Systems $52 - $3,083 49%
First Choice Stratose $58 - $2,902 54%
Prime Health Services $58 - $2,902 54%
American Health Group $62 - $3,083 58%
Beech Street $62 - $3,083 58%
Ibew $62 - $3,083 58%
One Health Plan $66 - $3,264 62%
Ms Dept Of Rehabilitation Services $73 - $3,627 68%
Veterans Eval Services $73 - $91 68%
Magnolia Mcd Chip $82 77%
Caresource Truecare $83 78%
Molina Chip $88 82%
Tricare $90 84%
Node Champva $94 88%
Humana $99 93%
Medicare (plans) $99 93%
Node First Choice Shared Health Of Ms Mcr Adv $99 93%
Node Vantage Health Mcr Adv $99 93%
Node Windsor Mcr Adv $99 93%
Node Magnolia Mcr Adv $100 94%
Molina $101 95%
Node Devoted Health Mcr Adv $101 95%
Node First Choice American Health Of Ms Mcr Adv $101 95%
Node Hospice Non Par Agree $101 95%
Node Va $101 95%
Node First Choice Wellcare Mcr Adv $103 96%
Node Healthy Mississippi Mcr Adv $111 104%
Node Us Dept Of Labor $126 118%
First Choice Preferred $152 142%
Node First Choice Occunet $152 142%
Ms Work Comp $163 153%
Prime Health Wc $163 153%
Molina Exchange $171 160%
Node Magnolia Exchange $177 166%
First Choice Lgp $220 206%
Vantage Health Commercial $227 213%
Advanced Health Systems $242 227%
Blue Cross Blue Shield $312 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals